Sugar consumption: Hello Suar Program

Many of us love the granola that we buy in the healthy aisle at the supermarket. Many also reach for healthy “whole grain” bread. And while we’re shopping we just grab a bottle of ready-made pasta sauce, just in case, we’re in a rush. Which we know is always the case. Many also use honey like it is the healthiest sweetener in the world, and thus has no limits.

Sugar comes in many different forms and names, and it most probably will be present in the majority of items  you’ve just shopped- whether it was in the healthy aisle or not.  

In this blog post, we aim to uncover everything regarding sugar, including how to spot it in the supermarket.

What exactly is sugar? 

When you think about sugar, you’re probably thinking of “table sugar,” the type added to your coffee or tea or the sweet stuff in your cake.

But we’re here to uncover that there are several types of sugar, and they all have different effects on your body.

The scientific name for table sugar is sucrose. Sucrose is a disaccharide. Disaccharide means it is made of two simple sugars: glucose and fructose. 

When you eat sucrose, the glucose goes directly into your bloodstream to be used for energy. You see this as an increase in your blood sugar. Alternatively, it can be stored in your muscles or as fat. 

Before fructose can be used as energy, it passes through your liver. In your liver, it is turned into glucose and fat. It also raises blood sugar levels more gradually (less spikey) than glucose.

Sugar & Carbs: Hello Sugar Program

Does this mean you should stop eating fruits?

In one word no.

Firstly, there’s much less fructose in fresh fruit than in many processed foods and drinks. While a  can of soda could contain around 40 grams or more of fructose, an apple only has around 6 g of fructose per every 100 g of apple.

Another important factor is how the different compounds in food interact. For instance, the fructose in your soda is free sugar, so it’s absorbed into your blood very fast. But when you eat an apple, your body has to break down the cells to get to the sugar. The fiber in an apple slows your digestion, so the fructose is released much more slowly.

This brings us to the tip of considering the source of sugar. 

Consider your sources of sugar

The source of the sugar you consume is crucial to know how it will impact your health. As we mentioned above some sugars are naturally occurring, such as in fruits, or also dairy products. Some sugars have been removed from their original sources and added to food products to improve sweetness, such as sugar in your soda.

Naturally occurring sugars

Naturally occurring sugars can be found in fruit, vegetables, grains, dairy and even nuts. Eating food that has naturally occurring sugar is alright as they contain other nutrients. For example, plant foods have high amounts of fiber, minerals, and antioxidants while dairy food contains calcium and protein. 

When consuming these foods, your body digests them slowly and the supply of energy becomes steady. They are a big part of leading a healthy lifestyle and studies even show that a high intake in vegetables, whole grains and fruits can reduce the risk of chronic diseases such as some cancers, diabetes and heart diseases. 

Free sugar or added sugar

Free sugar or added sugar, is however the refined sugar that is added to food. This is the type of sugar you want to avoid. 

Sugars are not only added to foods that are obviously sweet like sodas, ice cream or candy. Check the label of your favorite sauces or frozen foods. You wouldn’t also necessarily expect that they contain sugar.

It’s a smart idea to check the ingredient list carefully to look for hidden sugars when buying processed foods. Keep in mind that sugar can be listed by over 50 different names.

The most effective way to reduce your sugar intake is to eat mostly whole and unprocessed foods.

The biggest culprits of added sugar are soft drinks, fruit drinks, flavored yogurts, cereals, cookies, cakes, pastries, candy and almost all processed foods. 

Track glucose with Hello Inside

Why is sugar bad for your health? 

Let’s be clear, not all sugar is not inherently bad for you. Some sugar is actually necessary to provide energy. The problem is added sugars. They are usually composed of a simple chemical structure of one (monosaccharide) or two (disaccharide) kinds of sugars and therefore contain zero other nutrients. 

The simple chemical structure of sugar makes it an “empty” calorie. Meaning it is digested quickly, gives you a quick burst of energy, spikes your blood glucose, but without any nutritional benefits. 

The energy boost will not last either.  It will leave you feeling drowsy, unfocused and easily distracted. Research shows that there is a clear link between refined sugar consumption and excessive daytime sleepiness. 

Frequent consumption of added sugar also increases your hunger, causing you to eat more than you’d need. 

A high intake of added sugar can:

  • Increase the risk of being overweight, obesity and fatty liver.
  • Increases risk of type 2 diabetes and other metabolic diseases.
  • Increases risk of different types of cancer.
  • Increases risk of dental caries.

In the short term, you will risk gaining weight and feeling unfocused. A high sugar intake also affects your glucose metabolism and causes high blood glucose. This then also affects your sleep and weight.

In the long term, consuming an excessive amount of added sugar can lead to type-2 diabetes, obesity, fatty liver disease, certain cancers, and cardiovascular diseases, and even potentially addictive.

Added sugar raises your blood pressure and leads to increased risk of chronic inflammation, both of which are paths to attaining heart diseases. 

A 15-year study showed that people who consume 17-21% of their total calories intake from added sugar had a 38% higher risk of dying from a heart disease in comparison to those who intake 8% of their calories from added sugar. 

Another frightening fact is that studies have shown that a long-term sugar diet can diminish your brain’s ability to take in new information and memorize it.

Added sugar and all it’s different names

Added sugar is super hard to avoid. It may appear even in your healthy food choices. Beware of it next time you dine out or go to the supermarket. Check the food label, and you will notice some kind of sugar in soups, salad dressings, cured meats, whole grain bread, dark chocolate and in the “healthy” kombuchas where sugar was added after the fermentation to improve the taste. 

The further up an ingredient is listed in the ingredients list, the more of it is in the product. Ingredients used in the greatest amounts are listed first. 

Find hidden sugars

One tip to help you spot the added sugars is to look for words that end with “ose” in the ingredient list of the product. For example fructose, dextrose, and maltose.

In Europe, it might be hard to identify the amount of added sugar on the nutrition label. This is because manufacturers are only obliged to declare the total sugar amount, “of which sugar”, under the carbohydrate (grams of sugar per 100 grams of the product) index. This means that the naturally occurring and added sugars are mixed together making it difficult to spot added sugars.

Can you believe the sugar-free claims on products?

Under the European Union regulation, sugar-free claims may only be used when:

  • When a product contains no more than 0,5 grams of sugar per 100 grams/100 ml.
  • When no monosaccharides or disaccharides have been added. 
  • When no other food has been used for its sweetening properties. 

If there are naturally occurring sugars in the product, then the product will also have the label: “Contains naturally occurring sugars”.

Food additives, sugar substitutes, artificial sweeteners

By now you may notice that sugar is not always easy to detect in your foods and drinks. To make matters even more complicated, added sugars and artificial sweeteners may be labeled as “E-number”. 

For example, stevia is E 960a.

There are also sugar substitutes that contain no sugar, and have few or zero calories. Foods that are labeled “sugar-free”, “low carb”, or “diet” usually contain these. These substances are created in labs and are without beneficial nutrients. Some experts believe they can be dangerous and potentially impact your glucose levels as well. But is sugar actually always an enemy? Is there a way to consume sugar in a healthy and responsible way? 

How much sugar can we eat?

Nutrition experts, and health organizations recommend limiting the sugar intake to less than 10% of the daily recommended energy intake. Assuming an average energy need of  2000kcal the 10% daily intake is equivalent to about 50 grams of sugar, which is approximately 4 tablespoons. A Coca Cola Original 330 ml can contains around 35gram of added sugar.

However, most Germans consume way more than this, especially in the form of soft drinks and fruit juices. Studies suggest that high sugar consumption is the result of the hidden added sugars in food, as we mentioned already earlier.

How our sugar consumption affects our society and economy

Sugar has increased sharply in the last 50 years. This has proven to have serious consequences on people’s health. Many people get as much as 500 kcal a day from sugars. On average, the sugar amount Germans eat equals 28,5 sugar cubes per day. If these 28,5 sugar cubes are not burnt properly, it will turn into around 17,8 kg of excess body fat.  So a  high sugar intake can lead to taking in more calories than your body needs, which can contribute to overweight or obesity. In Germany, 67% of men and 53% of women are overweight. 23% of men and 24% of women are obese, meaning seriously overweight. 

Obesity is the epidemic of the 21st century 

Obesity is a serious condition with social and psychological aspects that affect people of all ages, socioeconomic backgrounds, and all over the world. Although more men are overweight, more women are obese. No matter if overweight or obese, both come with a high change of other  serious diet-related diseases. 

Comparing the negative effects of sugar on society with the costs and damages of diseases related to diets high in sugar, they are similar to deaths caused by driving under influence and smoking. In Germany, the direct cost of diseases related to high and frequent added sugar consumption is estimated to be over 8,5 billion euros in 2013. 

Why do we consume so much sugar? How is the food industry involved? 

Food politics is arguably a major factor for the  increase of sugar consumption worldwide. You all may have noticed how companies address children in marketing fast-food and soft drinks .One of the biggest misinformation is that exercise removes all negative effects of your diet.  

The fact is that the food industry has managed to lure added sugar onto your plates in many different ways. More than 70% of packaged foods sold in supermarkets have added sugar in them. This once again means that it’s not only the sweet products, but also the savory products like bread, pasta and sauces that include  them. As we mentioned earlier, they come in many different names. More than 50 names to be exact.

What can I do to avoid consuming too much sugar? 

So how do we say no to sugar? 

We understand that it’s not easy.  Especially because sugar activates the reward system in your brain.  Addictive substances tend to activate those receptors as well. That’s how addiction happens.

However, becoming aware and making smart choices can be the key. Being mindful and aware of the products you buy and always checking the ingredients, is one of the most important changes you can make. 

At Hello Inside it is our goal to make your lifestyle decisions easier. With our app you will see how the foods you eat impact your blood glucose. We’re pretty confident that there will be surprising foods that will cause your blood sugar to rise.  

We at, Hello Inside have created the 2 weeks Hello Sugar Program to educate you about sugar and your blood glucose levels. The program will uncover the different names of  sugar, show you how to read food labels, and what sugar does to your body and every day health. It also includes tips and tricks that you can apply easily to manage your sugar consumption. 

We don’t say that you have to avoid sugar completely, because that seems like an unattainable goal. But we want you to become aware and make smarter lifestyle and food choices.

The key problems the Hello Sugar Program addresses are: 

  • Lack of energy & focus, 
  • Cravings
  • Weight management. 

Our Tips:

As a sneak peak to our program we’ll already share 3 tips to help you reduce your daily sugar intake 

  1. Read the labels on the products you buy, and be aware of what you eat.
  2. Applying the 80:20 rule to your food and drink choices is a great way to reduce your sugar intake without feeling deprived→ By that we mean that you should eat “healthy” 80% of the time and the remaining 20% are for you to mindfully enjoy the treats.
  3. Understand what your body really needs and to make smart food and lifestyle choices. This is where Hello Inside comes in handy, as it helps you to navigate this journey.The app gives you insights to your personal reaction to food, especially via the Hello Sugar Program. 

We can agree that sugar is a complex and challenging topic. Even if sugar has a crucial impact on your health and society, sugar is not the enemy per se. Being aware of the sugar impact on your body and making smart lifestyle and food decisions is a great  step towards an improved well-being. Get to know your body like no one else and find your sweet spot with the Hello Sugar Program from Hello Inside.


Work Cited

Ziesel J. Facts About Sugar and Sugar Substitutes. www.hopkinsmedicine.org. https://www.hopkinsmedicine.org/health/wellness-and-prevention/facts-about-sugar-and-sugar-substitutes

Harvard Health Publishing. The sweet danger of sugar – Harvard Health. Harvard Medical School. Published November 5, 2019. https://www.health.harvard.edu/heart-health/the-sweet-danger-of-sugar

Xi Y, Lin Q, Yang Q, et al. Association between Free Sugars Intake and Excessive Daytime Sleepiness among Chinese Adolescents. Nutrients. 2021;13(11):3959. doi:10.3390/nu13113959

Lowette K, Roosen L, Tack J, Vanden Berghe P. Effects of High-Fructose Diets on Central Appetite Signaling and Cognitive Function. Frontiers in Nutrition. 2015;2(Front Nutr. 2015; 2: 5.). doi:10.3389/fnut.2015.00005

Gesund.bund.de. Is sugar really as bad as its reputation suggests? The German Federal Ministry of Health. Accessed October 12, 2022. https://gesund.bund.de/en/sugar#risks-of-sugar

Alahmary SA, Alduhaylib SA, Alkawii HA, et al. Relationship Between Added Sugar Intake and Sleep Quality Among University Students: A Cross-sectional Study. American Journal of Lifestyle Medicine. 2019;(16(1): 122–129.):155982761987047. doi:10.1177/1559827619870476

Meng Q, Ying Z, Noble E, et al. Systems Nutrigenomics Reveals Brain Gene Networks Linking Metabolic and Brain Disorders. EBioMedicine. 2016;7:157-166. doi:10.1016/j.ebiom.2016.04.008

Harvard Health Publishing. How to spot — and avoid — added sugar – Harvard Health. Harvard Medical School. Published October 16, 2014. https://www.health.harvard.edu/staying-healthy/how-to-spot-and-avoid-added-sugar

European Comission. Nutrition labelling. www.food.ec.europa.eu. https://food.ec.europa.eu/safety/labelling-and-nutrition/food-information-consumers-legislation/nutrition-labelling_en

European Comission. Sugars and Sweeteners | Knowledge for policy. knowledge4policy.ec.europa.eu. https://knowledge4policy.ec.europa.eu/health-promotion-knowledge-gateway/sugars-sweeteners_en

Younes M, Aquilina G, Engel K, et al. Safety of the proposed amendment of the specifications for enzymatically produced steviol glycosides (E 960c): Rebaudioside D produced via enzymatic bioconversion of purified stevia leaf extract. EFSA Journal. 2022;20(5). doi:10.2903/j.efsa.2022.7291

Lustig RH, Schmidt LA, Brindis CD. The toxic truth about sugar. Nature. 2012;482(7383):27-29. doi:10.1038/482027

Nestle M. Are sugars toxic? Should they be regulated? Food Politics. Published February 2, 2012. https://www.foodpolitics.com/2012/02/are-sugars-toxic-should-they-be-regulated/

Robert Koch Institute. Overweight and Obesity. www.rki.de. https://www.rki.de/EN/Content/Health_Monitoring/Main_Topics/Overweight_Obesity/obesity_node.html

World Health Organization. Controlling the global obesity epidemic. www.who.int. Published 2020. https://www.who.int/activities/controlling-the-global-obesity-epidemic

Ernst JB, Arens-Azevêdo, U, Bitzer. et al. B. Quantitative recommendation on sugar intake in Germany. www.ernaehrungs-umschau.de. Published 2019. https://www.ernaehrungs-umschau.de/fileadmin/Ernaehrungs-Umschau/pdfs/pdf_2019/02_19/EU02_2019_WuF_Zucker_Eng_72.pdf

Freedhoff Y, Hebert PC. Partnerships between health organizations and the food industry risk derailing public health nutrition. Canadian Medical Association Journal. 2011;183(3):291-292. doi:10.1503/cmaj.110085

Schaffer A, Satterfield S. Teaching the Truth and Bringing the Global Food Industry to Justice with Marion Nestle. Healthline. Published October 24, 2016. Accessed October 12, 2022. https://www.healthline.com/health/sugar-changemakers/marion-nestle#1

Colantuoni C, Schwenker J, McCarthy J, et al. Excessive sugar intake alters binding to dopamine and mu-opioid receptors in the brain. Neuroreport. 2001;12(16):3549-3552. doi:10.1097/00001756-200111160-00035

The Editorial Board. Opinion | Coke Tries to Sugarcoat the Truth on Calories. The New York Times. https://www.nytimes.com/2015/08/14/opinion/coke-tries-to-sugarcoat-the-truth-on-calories.html. Published August 14, 2015.

Aulona Krasniqi

Aulona Krasniqi

Aulona Krasniqi is a contributing writer for Hello Inside. She holds a Master of Science in International Health from Charite Medical University in Berlin, Germany. Her passion lies in promoting quality food and healthy lifestyles to the broader public.

more posts from author
Aulona Krasniqi

Aulona Krasniqi

Aulona Krasniqi is a contributing writer for Hello Inside. She holds a Master of Science in International Health from Charite Medical University in Berlin, Germany. Her passion lies in promoting quality food and healthy lifestyles to the broader public.

more posts from author

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Exercise and blood glucose

There are so many good reasons to exercise. Now doctors are even writing prescriptions for it. So it is no surprise that exercising affects even your glucose levels, but your glucose levels also impact your response to training. In this article, you will learn:

  • How exercise and blood glucose are linked
  • What types of exercises raise and lower your blood glucose
  • How you can adjust your training to optimize your glucose levels

What is glucose?

First things first: the term blood sugar and glucose levels are synonyms.  Here is why: 

when you eat food containing carbohydrates, your body breaks them down into a type of sugar, called glucose. Glucose and fatty acids are your body’s main sources of energy, and after a meal, the fat is stored and the glucose is released into the blood – hence the words blood sugar or blood glucose. Your body senses that glucose has entered your bloodstream and it triggers your endocrine system (your pancreas) to release insulin that regulates the glucose by prompting your cells to absorb it for energy utilization and storage. 

What can cause high or low blood glucose?

Low blood glucose levels (hypoglycemia) can occur when you don’t eat enough carbs, drink alcohol, are ill, or take certain medications.

High blood glucose levels (hyperglycemia), can happen when you ingest a large number of carbohydrate rich-foods, through lack of sleep, due to insulin insensitivity, but also due to stress, trauma, or a chronic condition. It can also affect how your body responds to exercise. Studies show that people with high glucose levels can’t reap the full health benefits of training.

Recognizing the signs of high and low glucose levels is crucial to lead a healthy life.

Both low and high glucose levels are difficult to spot and can go easily unnoticed, therefore the conditions often go untreated. A Continuous Glucose Monitoring (CGM) device can help you see, in real-time, how your diet, sleep, exercise and stress levels affect your blood glucose. Managing and controlling your glucose levels is a great way to stay healthy and prevent metabolic disorders .

Why exercising is good for regulating blood glucose levels

By now, it is a well-known fact that when it comes to your health, one of the best things you can do is exercise. So it should be no surprise that exercise effectively helps keep your glucose level steady. The muscles in your body need glucose as fuel, and when exercising your glucose demand increases because our muscles get activated. Exercise also increases our body’s insulin sensitivity, encouraging insulin to work more effectively to reduce blood glucose spikes faster.

How does exercise affect your glucose levels?

It’s important to know that different kinds of exercises affect your glucose levels differently. How they change during an exercise can depend on the following:

  • Your glucose level before working out
  • The type of exercise (aerobic or anaerobic)
  • The length of your workout session

Intense exercises (Anaerobic) will likely spike your blood sugar as they can release the hormone adrenaline which then stimulates the liver to release glucose at a faster pace.

In contrast, steady-paced exercises with moderate intensity (Aerobics- short duration) will use fat as the main source of energy, which means that blood glucose levels will remain stable . 

Once you know how your body responds to your workouts, you can prevent glucose spikes or lows. For example, if you notice a considerable spike when doing a workout, you can pay attention to what you eat before or during that exercise and your hydration. More on that further down! Let’s dive into which exercises lower or spike your glucose levels. 

What are anaerobic exercises and how do they affect my blood glucose?

Anaerobic activities such as interval training, are more intense, and shorter, and will get you out of breath quickly. When you work out anaerobically, your body primarily draws on glucose, our body will use the glucose that has been stored (glycogen)in the muscle and in the liver which is why your blood glucose would spike during these exercises to meet your body’s needs . This also means that spikes resulting from high-intensity exercise are nothing to worry about. It is your body showing a response as it should. That’s what you want your body to do.  

Examples of anaerobic exercises are: Interval training, sprinting, weightlifting, spinning classes, High-Intensity Interval Training (HIIT), Pilates.

What are aerobic exercises and how do they affect my blood glucose?

Aerobic exercises are when you perform an activity that will increase your heart rate at a steady pace, at a moderate to low intensity. These are exercises when you can generally speak with another person unless you’re swimming. 😉  Aerobic exercises don’t require your body to rely on glucose storage (glycogen) from the liver, this means that your body doesn’t need to produce instant energy kicks, inserted it relies on energy from fats . This means that your glucose levels generally stay the same or even go down slightly.

Examples of aerobic exercises are: Swimming, cycling, jogging, walking, rowing, zone 2 cardio, Ashtanga, Vinyasa, power and hot yoga

Exercising on an empty stomach: is fasted exercise good for my blood glucose?

Fasted exercise is when you work out on an empty stomach. You can achieve this by fasting overnight and working out first thing in the morning or before your first meal. The idea is that by the time you work out, your body is depleted of glucose stores and can access stored fat easier compared to non-fasted.. However, this practice can lead to a blood glucose dip during exercise, this dip is your body telling you you are under-fuelled (making it harder to recover). As a result, you put your body under a lot of stress, you lose fitness instead of gaining it, and you increase the risk of injuries. 

How the menstrual cycle affects your workouts and glucose levels

Most women are aware that their body experiences different phases during the menstrual cycle. But, many do not realize how much these fluctuations affect their bodies. Sleep, sexual function and metabolism are all linked to the endocrine system. The endocrine system controls your menstrual cycle, and if you remember from before, the endocrine system also regulates our blood glucose levels. So it explains why the  hormonal phases can impact your glucose metabolism during workouts.  In other words, workouts that seemed easy and blood glucose flattening in one phase may be perceived as harder with higher glucose levels in another phase. 

The hormones released during the different menstrual phases appear to affect the reliance on glucose as an energy source, as well as the glucose response to food and stress. Hello Inside has created the Hello Hormones program to show how your blood glucose levels change throughout the cycle. This allows you to optimize your exercise and glucose response.

Hello Inside: Self-Care Movement - Yoga with CGM

Our tips

We’ve created some tips to optimize your glucose levels based on your exercise and vice versa

You can maximize the positive effects of a workout on your glucose levels by incorporating the following tips into your regimen: 

General measures: 

  1. Pick the exercise that suits your menstrual  cycle to feel your best
  2. Be aware of glucose drops and refuel  !(it’s best to opt for a mix of protein and carbohydrates, such as a yogurt with berries)
  3. If the session takes longer than 90 minutes, prepare a small snack to eat during the exercise (such as a banana, or 1-2 energy chews)
  4. Incorporate a fasted exercise by doing 15-20 minutes of HIIT or an aerobic exercise in the morning
  5. If you are going to work out in the evening, opt for a gentle exercise for better sleep and recovery.  (Bonus: good sleep has a positive effect on glucose levels the next day)

To prevent your blood glucose levels from going too low:

  1. Move your body by taking a 15-minute walk, taking the stairs or standing up from your work desk every 20 minutes for a stretch
  2. Stay away from hot baths, saunas and steam rooms after a workout
  3. Don’t work out later than 2 hours before bedtime

To avoid spikes in blood glucose levels:

  1. Do gentle or moderate exercise before your first meal
  2. Try taking a walk after your meals: Research* shows that moving within 30 minutes of a meal will lower your blood glucose level significantly (*)

Key takeaways

Glucose works as fuel for your muscles during exercise. If you do aerobic exercises like walking or swimming, if you do anaerobic (intense) exercises, like weightlifting, your glucose levels will increase rapidly and potentially even spike.

Fasted exercises and adjusting your workout to your menstrual cycle can both boost your glucose metabolism. 

It’s good to measure your blood glucose before and after you exercise. Using a CGM will make it easier and allow you to measure your glucose levels during an exercise as well. The results will help you determine what your glucose levels should be during an exercise and how to respond to them. For instance, you might want to optimize energy levels before an anaerobic exercise, or if you do a fasted exercise and notice your glucose levels are dipping, you have a previously prepared snack. 


Works Cited

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Kjaer, M. “Hepatic Glucose Production during Exercise.” Advances in Experimental Medicine and Biology, vol. 441, 1998, pp. 117–127, pubmed.ncbi.nlm.nih.gov/9781319/. Accessed 1998.

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Lukács, Andrea. “Effect of Aerobic and Anaerobic Exercises on Glycemic Control in Type 1 Diabetic Youths.” World Journal of Diabetes, vol. 6, no. 3, 2015, p. 534, www.ncbi.nlm.nih.gov/pmc/articles/PMC4398909/, 10.4239/wjd.v6.i3.534.

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Oosthuyse, Tanja, and Andrew N. Bosch. “The Effect of the Menstrual Cycle on Exercise Metabolism.” Sports Medicine, vol. 40, no. 3, Mar. 2010, pp. 207–227, 10.2165/11317090-000000000-00000.

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“Working Out? Keep Your Blood Sugar in Line.” WebMD, 9 Sept. 2022, www.webmd.com/diabetes/control-blood-sugar-workout.

Yan, Hui, et al. “Estrogen Improves Insulin Sensitivity and Suppresses Gluconeogenesis via the Transcription Factor Foxo1.” Diabetes, vol. 68, no. 2, 28 Nov. 2018, pp. 291–304, 10.2337/db18-0638.

“Estrogen Improves Insulin Sensitivity and Suppresses Gluconeogenesis via the Transcription Factor Foxo1.” Diabetes, vol. 68, no. 2, 28 Nov. 2018, pp. 291–304, 10.2337/db18-0638.

Zouhal, Hassane, et al. “Exercise Training and Fasting: Current Insights.” Open Access Journal of Sports Medicine, vol. Volume 11, Jan. 2020, pp. 1–28, www.ncbi.nlm.nih.gov/pmc/articles/PMC6983467/, 10.2147/oajsm.s224919.

“Exercise Training and Fasting: Current Insights.” Open Access Journal of Sports Medicine, vol. Volume 11, Jan. 2020, pp. 1–28, www.ncbi.nlm.nih.gov/pmc/articles/PMC6983467/, 10.2147/oajsm.s224919.

Aulona Krasniqi

Aulona Krasniqi

Aulona Krasniqi is a contributing writer for Hello Inside. She holds a Master of Science in International Health from Charite Medical University in Berlin, Germany. Her passion lies in promoting quality food and healthy lifestyles to the broader public.

more posts from author
Aulona Krasniqi

Aulona Krasniqi

Aulona Krasniqi is a contributing writer for Hello Inside. She holds a Master of Science in International Health from Charite Medical University in Berlin, Germany. Her passion lies in promoting quality food and healthy lifestyles to the broader public.

more posts from author

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Sleep & Recovery

We learn early in life how important sleep is for our development and functionality. It is evident in how our sleep is prioritized throughout our childhood. As we grow older and life speeds up, we seem to forget this fact and start neglecting sleep, even labeling it with negative connotations, usually laziness. But sleep is anything but a lazy activity. In fact, it is crucial for hormone balance, brain and body healing. 

In this post, we will dive into how to improve your health through sleep quality by understanding:

  • why prioritizing sleep is important
  • what effect sleep has on our health
  • why the quality of our sleep is as important as getting the recommended hours of sleep
  • what actions you can take to improve your sleep quality

Overnight therapy: Why sleep is so important

It’s a myth that as we grow older, we need less sleep. We, in fact, need as much sleep in our 60s as we do in our 20s because recovery is essential whether you are young or old. To quote the sleep expert, Professor Matthew Walker, director of the Center for Human Sleep Science at UC Berkley, “sleep is probably the single most effective thing you can do to reset your body and health.” 

Let’s examine exactly why that is.

Sleep contributes to our emotional well-being as it functions as a therapy to help us fight off feelings of depression and anxiety. Furthermore, it enhances cognitive performance, boosts our immune system, increases longevity, has an anti-aging effect – and even makes us look more attractive! 

That’s not all: We even get smarter when waking up from a good night’s sleep. You probably heard somebody say, “Tomorrow will look different. Sleep on the problem,” well it might be one of the best pieces of advice you can get. Sleep enhances our memories and creativity as our brain processes new information, ties it with stored memories, and identifies new patterns – helping us find solutions we couldn’t make out before.

How does poor sleep affect your health, hormones, and weight? 

To further emphasize the importance of sleep, let’s talk about what can happen if you are underslept.

It can play out as emotional instability the next day. We might become irrational, impulsive or suddenly need to seek out sensations and rewards. This is because the prefrontal cortex – the logical part of our brain – takes the hit and can no longer properly regulate the part of the brain that stabilizes emotions – the amygdala.

There are also potential chronic effects since sleep functions as a “save button” for our brain when memorizing new information. Lack of sleep actually reduces our brain’s ability to lay down new memory traces by 40%. Studies show that sleep deprivation is the most significant lifestyle factor determining if you will develop Alzheimer’s disease. 

Poor sleeping habits also disturb the regulation of hormones in our bodies.

Another chain reaction deriving from lack of sleep is the one affecting our hormones. Sleep deprivation is linked to hormonal changes affecting our body’s glucose (blood sugar) regulation. Normally, when our bodies sense a spike in glucose, they start to release insulin to regulate it. If we are under-slept, our bodies (our pancreases) may become insulin insensitive and not release the adequate amount of insulin needed to regulate the glucose spikes. This, of course, affects our glucose tolerance, which may lead to an increased risk for diabetes. In fact, people who sleep 5 hours or less per night have a significantly higher risk of being diagnosed with diabetes compared to those who sleep 8 hours. 

If you plan to start on that healthy diet, make sure to plan for good sleep too! Studies show that sleep deprivation affects the hormones that regulate our hunger. Lack of sleep causes an increase in certain hormones that stimulate hunger and a decrease in other hormones that let us know when we are full. This means that if you are sleep deprived, you will most likely crave and eat more food than you actually need, especially food rich in fats and carbs. This, in turn, is an entry ticket for a glucose roller coaster. 

Does the number of sleeping hours matter?

It definitely does, but remember that quantity and quality are equally important here.

The recommended hours of sleep are between 7-9 hours, with 8 hours being the ideal for most people.

But how do I know if 8 hours of sleep is enough for me? Well, let’s say your alarm didn’t go off one morning. Would you continue to sleep? If yes, you are not getting enough sleep. 

Sleeping stages and why they matter?

Before we take steps to improve our sleep quality, it helps to understand the four stages of sleep: there are three NREM (non-rapid-eye movement) stages and one REM (rapid-eye movement) stage.

Stage 1. The “dozing off” stage occurs right before you fall asleep.

Stage 2. During this stage, your heart rate, brain activity, and body temperature are lower. 

Stage 3. Here is where we enter deep sleep or slow-wave sleep (SWS). This stage is considered critical for restorative sleep and essential for your body’s glucose management. 

Stage 4. In the crucial REM stage, brain activity picks up rapidly. It is restorative to cognitive functions such as creativity, learning and memory.

The stages move in a cycling pattern and have varying lengths. The length of each stage can be influenced, and this is how our lifestyle choices come into play.

Pulling all-nighters, having an irregular sleep schedule or regularly having your sleep disturbed are all factors that can negatively affect the sleep stages and in turn, affect your physical and mental recovery.

Therefore, sleep quality means optimizing the different sleeping stages, especially deep sleep (SWS) and REM.  

To assess your sleep quality, ask yourself these questions: 

  • Does it take you more than 30 min to fall asleep? 
  • Do you wake up several times per night and have trouble going back to sleep?
  • Do you feel tired and have difficulty talking and concentrating the next day?
  • Do you feel more hungry, experience cravings, and feel emotionally less stable?

If one or more of these apply to you, we have some remedies you may want to try.

How to improve sleep with lifestyle choices

 

The Circadian Rhythm

Almost all living beings – from bacteria to people – have a circadian rhythm. It is our “internal clock” that ensures that all of our organs and internal biological systems work harmoniously together over a 24h cycle. One of the most important processes, controlled by the circadian rhythm, is the sleep-wake cycle. It is regulated through a complex feedback loop that includes hormonal production (most prominently melatonin) interlinked among others to light exposure and sleeping patterns.

  • Always wake up at the same time: Abandon those plans to catch up on sleep during the weekends. Our bodies love routines, so try to follow a steady sleep- and wake-up schedule. This is best kept in check by always waking up at the same time, whether it is the weekend or even if you went out partying the night before. By waking up at the same time, your body will take the sleep it needs by “making you” go to bed earlier the next day! This will help foster a healthy circadian rhythm and teach your body to follow a specific sleep-wake cycle which can help you fall asleep quicker and improve your sleep quality.
  • Create a bedtime ritual to unwind: Relaxation before bedtime signals that it’s time for your body and brain to unwind. So, dim those lights, put on calming music, take a warm bath, get your favorite book or do whatever it is that makes you relax. Your circadian clock responds the best if you start to dim the lights in your home 3-4 hours before your bedtime. The darkness kicks off melatonin production, which causes drowsiness and helps initiate the sleep phase. Blue light is our main adversary here, that’s why most phones and laptops have a downtime mode, where you can set up times when the blue light is automatically reduced. But ideally, you would avoid screens altogether during your wind-down phase. 
  • Your morning ritual matters, too: Light exposure works both ways – within 30 minutes of waking up, go outside and expose your eyes to sunlight for 2-10 minutes. This triggers a healthy cortisol release to promote wakefulness and starts the timer for melatonin. Meaning, if you get bright light exposure 14-16 hours before when you want to sleep, it will help to time the melatonin release exactly when it is time for you to start getting ready for sleep. It doesn’t matter if it is winter or cloudy, just don’t wear sunglasses.
  • Avoid a glucose spike late in the evening: Avoid eating heavy meals or snacking late in the evening. It can cause indigestion and high glucose levels, which directly disrupts your deep sleep. 
  • Manage your glucose levels: Find out through glucose monitoring which foods give you spikes and lows in glucose. An interesting fact is that the circadian rhythm regulates your glucose metabolism. Therefore, a circadian disruption, such as ending a night out with a pizza or other “heavy” food, can cause glucose dysregulation.

 

Interesting Fact

Did you know that our liver works hardest when we are in the middle of our sleep? As elaborated above, our body “knows” due to the circadian rhythm when we are deep in sleep and that’s when some parts of our body work hardest. It is during this time (usually 1am – 4am) that we experience the most glucose dips and spikes. This is because our liver works hardest during this period to detoxify our body causing the erratic glucose levels.

  • Temperature: A cooler bedroom temperature is perfect for sleep as your body needs to drop 1-3 degrees for effective sleep.
  • Avoid alcohol: While a glass of good wine for dinner or some fun cocktails when out with your friends is part of life, it’s important to understand that alcohol will definitely mess with your sleep. Alcohol is technically a sedative that can aid in falling asleep, but in reality, it basically knocks you out. To put it bluntly: you’re not falling asleep, you’re passing out. This means it reduces the deep SWS and REM sleep and causes sleep disruption throughout the night, consequently messing with your sleep quality and recovery.
  • Exercise: Working out is a cure for all, including poor sleep and unstable glucose levels. But you should avoid heavy exercises that drive up your heart rate late in the evening. This goes especially for high-intensity training like HIIT, heavy weight lifting, or even a late evening jog. Instead, opt for low heartbeat activities like easy Yoga or Qi Gong.
  • Caffeine is all about timing: Would you drink one espresso as a good nightcap? No, right? But drinking 2 espressi at 5 pm, is like having 1 espresso at 10 pm. This is because caffeine has a half-life of 4-6 hours, meaning it takes your body that long to get rid of half the amount of the consumed caffeine. Caffeine is a stimulant and will keep you awake while it is in your system in a higher amount. Even if you manage to fall asleep with caffeine in your system, it will disrupt the SWS stage and lead to less restorative sleep. So, make sure to time your coffee or matcha well. 

The key takeaways:

Sleeping is crucial for your body’s physiological and mental recovery. The severe consequences of not prioritizing sleep include diseases, functional impairments, and elevated glucose levels.

You should aim to get 7-9 hours of sleep and work to enhance SWS (stage 3) and REM sleep (stage 4). 

Therefore, you should really analyze which daily choices in your life might affect your sleep quality. So heal your circadian rhythm: if your circadian clock is off, it can cause you sleep problems. Boost it by following a sleeping schedule, avoiding staying up at night, and avoiding eating in the evenings. 

One particularly important factor is stable glucose levels, which impact your hormones, your sleep quality, and, therefore, your recovery. Understanding how your body reacts to glucose levels helps you make healthy lifestyle choices. Hello Inside has designed a program that helps you understand your body’s response to food, exercise, and sleep. 

Hello Hormones is the name, and it includes personalized practical insights to help you make smarter lifestyle choices to enhance every aspect of your life, including sleep. 


References

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Aulona Krasniqi

Aulona Krasniqi

Aulona Krasniqi is a contributing writer for Hello Inside. She holds a Master of Science in International Health from Charite Medical University in Berlin, Germany. Her passion lies in promoting quality food and healthy lifestyles to the broader public.

more posts from author
Aulona Krasniqi

Aulona Krasniqi

Aulona Krasniqi is a contributing writer for Hello Inside. She holds a Master of Science in International Health from Charite Medical University in Berlin, Germany. Her passion lies in promoting quality food and healthy lifestyles to the broader public.

more posts from author

Rate this Post:*

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